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Circumcision Healing

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Circumcision Healing

One of the common fears that is stopping or holding them back from going through the procedure is the fear of pain or complications during the recovery process. Let me reassure you with our current method, having complications or pain is much less than before. However, I have compiled a list of tips to help you to optimize your recovery based on my experience and my patients’ feedback.

Also read: HOW DOES SUTURELESS CIRCUMCISION​ TECHNIQUE (SHANG RING) WORK?

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1. Have adequate rest

Especially during the first few days up to a week after the procedure, it is best to have adequate rest to allow your body to focus on healing. I will usually provide medical leave for up to a week to ensure that you have adequate rest at home.

2. Avoid strenuous activities

I know some men may get restless or feel uncomfortable with lack of physical activity especially when they are used to exercising regularly. However, this is important as well to help with recovery and avoid complications like bleeding or swelling. I had a few patients who started brisk walking within a few days of procedure and ended up with swelling around the wound area. It is advised to avoid strenuous activity for 4 weeks. Normal day to day walking is allowed so don’t have to worry about this procedure affecting your daily activities. 

3. Keep it clean

After the procedure, with the ring still intact, you are allowed to shower as per normal. To keep the wound area clean, you just need to let the soap and water from your body to run down to the area. No need to specifically rub, apply soap and it. If there is an obvious liquid or residue on it you can wash it off with water. By keeping the area clean it helps to allow the wound to heal faster.

4. Keep it dry

After cleaning, the ring tends to retain water or moisture. It is advised to dry it properly before putting on your clothes. You can use a soft towel to dab dry or a hairdryer using normal temperature to dry the area. If the wound stays we may promote infection or increase serous discharge production. So make sure it is dry before you put on your pants.

5. Antibiotic powder

After the procedure, you will be prescribed antibiotic powder. This is very helpful to keep the wound dry and also prevent infection. Apply at least once to twice a day.

6. Sleep on your side

One of the common causes of discomfort after circumcision is erection. For men, erections occur naturally at night or early morning. So this sometimes causes discomfort. Sleeping on your side may help to reduce the frequency of erections at night while you’re sleeping thus minimizing discomfort.

7. Ice pack

Another effective way to minimize erections is by applying ice pack. You can standby an ice pack or a pack of frozen peas by your bedside. If in the case of an erection that is causing pain, you can apply the ice pack on your scrotum. The cold will help to reduce your erection. 

Take as soon as you start to feel discomfort.

Next read: WHAT ARE THE TOP 7 REASON MEN UNDERGO CIRCUMCISION

Next read: CIRCUMCISION REDUCES BACTERIA AND RISK OF STDS

For more information: HOW IS THE ADULT CIRCUMCISION (FORESKIN REMOVAL) PROCEDURE DONE?

Speak to your doctor if you have any questions regarding circumcision.

Find a doctor | Make an appointment

 

Circumcision Reduces Bacteria And Risk Of STDs

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What is Circumcision?

Circumcision is a procedure where the excess foreskin is removed. This ritual has been performed on boys for thousands of years. It is currently practised by many faiths and culture. In the states, it is usually done within the first few days of life. Among Muslims and Jews, it is highly encouraged for boys to be circumcised. In fact, it is highly encouraged because it promotes better hygiene among other benefits. 

Male circumcision reduces the abundance of bacteria living on the penis and might help explain why circumcision offers men some protection against HIV, according to a study led by the Translational Genomics Research Institute (TGen).

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Are circumcised men less likely to contract HIV?

One of the most interesting benefits of circumcision is the finding that circumcised men are less likely to contract HIV, the virus that causes AIDS. In 2005, a study of South African men found that circumcised men who had sex with an HIV-positive woman were 63 percent less likely than uncircumcised men to contract the virus. Other than HIV, Circumcision has also been shown to reduce the risk of contracting HPV, or human papillomavirus. 

HPV is a virus that can cause cervical cancer in women. Another sexually transmitted virus is the herpes simplex virus type 2, better known as genital herpes. The risk of transmission of genital herpes is also reduced in men who were circumcised.

Bacteria and Sexually Transmitted Diseases (STDs)

Other than viruses, bacteria also are responsible for some of the common Sexually Transmitted Diseases (STDs). Circumcision has been proven to reduce incidence of Chlamydia Trachomatis infection. Interestingly, circumcision doesn’t just protect the men, but also protects the women as well.

In a study published in 2005 in American Journal of Epidemiology, there’s an 82% reduction of Chlamydia infection among women whose partners were circumcised as compared to women whose partners were uncircumcised.

A study of women in Kenya and Uganda enrolled in an RCT and followed up for 3 years found circumcision of their male partners was associated with a 59% reduction in incident syphilis among the women. A prospective study in Kenya by the same authors found that those with circumcised male partners had a 58% lower risk of incident Trachomatis vaginalis than did women with uncircumcised partners.

One of the main possible reasons behind lower risk of infection is the recent finding where there is a significant shift in the bacterial flora of the penis after circumcision. This was according to a study published by the online journal mBio. This international collaboration focused on 156 men in Rakai, Uganda — part of the world’s largest randomized-controlled trial on male circumcision.

Researchers showed that men who were circumcised as part of the study had 33.3 percent less bacteria on their penis than those who remained uncircumcised one year after the study began. Researchers further showed that the decrease was primarily found in 12 types of bacteria, most of which were intolerant to oxygen.

At the same time, understanding the mechanisms that underlie the benefits of male circumcision could help to identify new intervention strategies for decreasing HIV transmission, especially for populations with high HIV prevalence and in places where male circumcision is culturally less acceptable, the study says.

“We know that male circumcision can prevent HIV and other diseases in heterosexual men, but it is important to know why,” said Dr. Lance Price, the Director of TGen Center for Microbiomics and Human Health and the study’s senior author.

“We think that these dramatic changes in the penis microbiome may explain, at least in part, why male circumcision is protective, ” said Dr. Price, who is also a Professor of Environmental and Occupational Health in the School of Public Health and Health Services at the George Washington University.

HIV

In heterosexual transmission of HIV, the virus on the foreskin needs to reach its target cells, the CD4+ T-cells, which reside primarily in blood or the lymph nodes.

Researchers hypothesize that penis bacteria may facilitate this process in two ways: by both recruiting more HIV target cells to the foreskin and by triggering another set of immune cells, the Langerhans cells, to deliver the virus to susceptible T-cells. Without this trigger, the Langerhans cells will simply destroy the virus.

“Our findings are interesting from two perspectives. From a public health standpoint, we were finally able to detail the bacterial changes associated with male circumcision,” said Dr. Cindy Liu, Adjunct Professor at the Pathogen Genomics Division at TGen, and the study’s lead author.

“From an ecological perspective, our study shows how phenomena from the macro-world actually scale to the micro level. When you change a macro environment, such as clear cutting a forest, you affect the animals that live there. That’s intuitive. Here we show that changing the penis environment affects the microbes that live there as well.” said Dr. Liu, who also is a member of the Department of Pathology at the Johns Hopkins School of Medicine.

Currently circumcision among adults is carried out in Africa as a part of the campaign to fight HIV and AIDs. With increasing evidence of health benefits from circumcision, I am seeing more men coming forward to get circumcised voluntarily. These are men who have no medical problems that warrant a circumcision. They simply want to have better hygiene and reduce their risk of infection.

Also read: What Are The Top 7 Reason Men Undergo Circumcision?

At Dr Tan & Partners, we use the Shang Ring Method of circumcision. With this method, there is no need for injections and the procedure is very quick, simple and painless. Only numbing cream is used and after 30 minutes of application, the procedure can commence. The procedure itself takes only 10-15 minutes. Our patients are usually surprised at how painless and quick the procedure is. Most importantly they like how the results look at the end of the day.

Also read: How Does Sutureless Circumcision​ Technique (Shang Ring) Work

Next read: How Is The Adult Circumcision (Foreskin Removal) Procedure Done?

Speak to your doctor if you have any questions regarding circumcision.

Find a doctor | Make an appointment

How Does Sutureless Circumcision​ Technique (Shang Ring) Work

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What is Male Adult Circumcision?

Male Adult circumcision is the removal of the excess foreskin from the penis.

There are many reasons to undergo a circumcision procedure. The benefits are listed below.

Benefits of Circumcision:

  • Prevention of balanitis (penile infection)
  • Better hygiene
  • Reduced risk of HIV and other STDs
  • Fewer risk of urinary tract infection
  • Prevention of phimosis (inability to retract foreskin) and paraphimosis (foreskin retracted and unable to return to original position)

Who should get a circumcision?

In medical terms, there are absolute and relative indications for getting a surgery/procedure done such as circumcision. There are only 2 absolute indications for circumcision – scarring and severe infection (BXO).

However, for relative indications, these are the reasons to consider circumcision

  • Those with previous or recurrent balanitis (penile infection)
  • Those unable to retract their foreskin fully to wash
  • Those with long and redundant foreskin, trapping urine and dirt
  • Those with the buildup of whitish “gunk” also known as smegma under the foreskin
  • Those with tight foreskin and unable to retract (phimosis)
  • Those who want to have a reduced risk of STDs, urinary tract infections or penile cancer
  • Those with painful and uncomfortable erections

How is the surgery performed?

We perform the surgery using a sutureless technique where it takes 10-15 mins to perform and is done under local anaesthesia. With this technique, the wound remains protected and does not tear or bleed, unlike the traditional circumcision methods.

What happens after the surgery?

ALL my patients are able to go back to normal activity immediately after the surgery and this should not hinder with your work or study in anyway, however, you will be out of vigorous activity, sports for at least 3 weeks.

There are many advantages to the Circumcision procedure done at DTAP Clinic which include

  • Reduced surgery time from about 1 hour using the conventional method to 10 mins
  • No sutures necessary
  • Short procedure time (around 10 minutes)
  • Minimal bleeding
  • Frenulum preserved
  • Very low risk of complications
  • Good cosmesis
  • High satisfaction rate among patients

The cost for the circumcision procedure is $1926.00 and inclusive of follow up reviews.  

Contact us today to book an assessment for your health needs!

Other Read:

Penile Surgery: Penile Anatomy & Aesthetic Problems

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When we think about men’s health, we recognize the importance of enhancing sexual function and symptom improvement.
Penile anatomy and aesthetic (problems) can affect one’s performance during sexual intimacy, one’s confidence or even one’s partner. These problems may also hinder a couple’s fertility planning.

What are the Conditions & Symtopms?

The symptoms one may experience from penile anatomy or aesthetic problem include painful erections, unable to maintain an erection.
This can also come from problems of a flaccid or soft penis, curved penis or bent penis. Some men may also experience a tight foreskin, inability to retract the foreskin, recurrent foreskin infections (balanitis). Some men may also notice, in the absence of STDs, warts or infections, small bumps on the penis.

Frenulum Breve

Painful Erections can be caused by Frenulum Breve, where the external elastic band of tissue which connects the penis to the foreskin is too short, resulting in the restriction of the foreskin movement. Some people also develop a bent penis during erection as the frenulum pulls down the head.  This condition can also further prevent the full retraction of the foreskin or even tearing of the frenulum causing bleeding and pain during sex or erection.
This problem is treated with a simple painless procedure called a Penile Frenulectomy.

Phimosis

Another cause of a painful erection is Phimosis where the foreskin is too tight and does not allow for a complete retraction to expose the glans penis. This can cause pain during an erection and can cause difficulties during sexual intercourse as well. Furthermore during episodes of pain, one may lose their erection, resulting in an unpleasant sexual experience.

The treatment for Phimosis is Circumcision. There are numerous benefits for Circumcision, such as the prevention of infections, also known as balanitis, and the reduction of sexually transmitted diseases.
Shang Ring is a Circumcision Method that is this painless and quick 15min procedure.

Peyronie’s Disease

Bent or Curved Penis can be caused by a buildup and growth of fibrous plaque tissue in the penis. These scar tissue can also cause pain during an erection. Bent or curved penis is also known as Peyronie’s disease and results in difficult penetration during intercourse.
Peyronie’s disease is treated with Electroshock wave therapy (ESWT) that breaks down these fibrous plaque tissue allowing for a normal straight erection.

Pearly Penile Papules (PPP)

Small bumps around the penis head but without other sexually transmitted disease symptoms can be a cause for concern to men or their partners. The best way to confirm this is through a clinical assessment by our doctors.
If the diagnosis turns out to be benign pearly penile papules (PPP), then there will be no cause for alarm as this is not an STD and does not get transmitted.
However, some men or their partners will be concerned about these spots as they may look “unsightly and unacceptable”. Although this is an “aesthetic” problem, at DTAP clinic, we understand how this can also affect the sex life between a couple or a man’s confidence.
The definitive treatment of PPP is through electrosurgery which is quick painless and takes about half an hour.
Read: Pearly Penile Papules (PPP) Removal

Erectile Dysfunction

Ultimately, Penile curvature and size have a huge effect on penis’ aesthetic aspect; that is a major concern for most men. This may in turn affect a man’s confidence, performance and ultimately enjoyment of sex.
Last but not least, if erectile dysfunction is a concern as a result of any of the above conditions, you can also address it with more than just pills, but also with ESWT for Erectile Dysfunction.
Penile Rejuvenation with a painless, quick and convenient treatment that restores the natural erection mechanism in a man.
We believe in a holistic approach in addressing men’s health concerns both from the inside and also externally. No two treatments are the same for each man, and a tailored approach; understanding your concerns and addressing your worries will always be our priority.

Take the first step and give us a call to get started on your treatment journey.
Our Andrology Clinic in Singapore focuss not just on the inside but also on the outside, a complete picture. One important aspect easily overlooked is penile health and the related problems that are found externally on the Penis.

Take care.

Related Read:

  1. 7 Ways to Last Longer in Bed : Premature Ejaculation
  2. 10 Ways to Improve Sexual Performance for Men
  3. ElectroShock Wave Treatment for Erectile Dysfunction in Singapore
  4. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  5. Weak Erection: Does Size Matters?
  6. What Do You Need to Know about Prostate Massage
  7. Pearly Penile Papules (Bumps On Penis)
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. 5 Ways to Fight Depression

What Are the Top 7 Reason Men Undergo Circumcision?

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Circumcision has always been a hot topic for discussion. Some are against it, and some are for it. One thing for sure is that it has a lot of benefits.
Circumcision is a medical procedure for foreskin removal.
I will be sharing with you the Top 7 Reasons of circumcision so that you can make your own decision if it is something suitable for you.

Better Hygiene

The presence of the foreskin increases moisture and warmth around the penis. And this promotes the collection of smegma which is a combination of shed skin cells, skin oils, and moisture.
When accumulated, it will contribute to a foul odour and leads to poor hygiene.
When circumcised, they won’t be any more space for the smegma to accumulate.
So your penis will have better hygiene and even smell better.

Reduce Risk of Balanitis

Balanitis is an infection of the penis tip and foreskin. It is most commonly caused by Candida which is a type of yeast.
It’s uncomfortable and irritating and for some people, they get infected multiple times.
When you’re circumcised, you have an almost negligible risk of getting balanitis.
Saves you the trip to the doctors and the money to see one.

Reduce the risk of STDs and HIV

In Africa, adult circumcision is advocated in order to bring down the HIV epidemic.
Some STDs are treatable (see STD treatments) however HIV is not (see HIV Management).
If you can further reduce the risk of contracting this deadly disease, why not?

Prevent cancer

Circumcision is also associated with a lower risk of getting penile cancer, and reduced risk of cervical cancer in their partners.
You’re not only saving yourself but also your partner. It’s a win-win!

Less UTIs

Bacteria usually cause UTI’s or urinary tract infection.
Symptoms include painful urination and or blood in the urine. It’s very annoying to have.
Will be quite useful to have one less disease to be worried about.

Better Sex

Nowadays many women prefer men who are circumcised or cut. There are various reasons for this. Some like the appearance and find it a turn on.
Some love it that it is cleaner and smells better and it makes them feel more comfortable during sex. And of course, when you are circumcised you won’t have pain during intercourse. Which could be due to a tight foreskin or from paraphimosis.
Paraphimosis is a condition where the foreskin gets stuck below the head. It’s a medical emergency that requires immediate treatment.
Better sex is always a lovely bonus.

Last longer in bed

With the foreskin removed, the head of the penis will get exposed all the time.
This will lead to keratinisation of the head. Hence it will desensitize it.
When more desensitized, it will help you last longer in bed. And now you’re gonna be a stud in the bedroom.

That’s All Folks!
If you wish to know more about Adult Circumcision and How is it performed visit our Mens Health Page.

Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  4. Pearly Penile Papules (Bumps On Penis)
  5. Phimosis – Unusually Tight Foreskin 
  6. An Overview of STD – From an STD Doctor
  7. What are the Signs & Symptoms of HIV and AIDS?
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

How is the Adult Circumcision (Foreskin Removal) Procedure Done?

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What is Male Circumcision?

Male circumcision is the removal of the foreskin from the penis.

Why Do Some Some Adults Undergo Circumcision?

Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons. Some choose to do it for aesthetic reasons. 

How is Circumcision Done?

Shang Ring Method

In our clinics, we perform circumcision using the Shang Ring Method. A numbing cream will be applied to the foreskin and left for at least 30 minutes.
Once the skin is numb, the Shang Ring will be applied. The size of the ring will be measured prior to the procedure.
The foreskin will be clamped in between the inner and outer ring.
The excess skin will then be removed by surgical scissors. The ring will be left in place for one to two weeks.
After surgery, the patient will be prescribed oral painkillers and antibiotics.

 

What are the Advantages of the Shang Ring and Stapler Method?

It is a circumcision device that shortens the procedure duration down to 5 minutes only instead of the usual 45 minutes or 1 hour via conventional circumcision methods.

  • No sutures necessary
  • No injections
  • Short procedure time (around 5 minutes)
  • Minimal bleeding
  • Frenulum preserved
  • Very low risk of complications
  • Good cosmesis
  • High satisfaction rate among patients

What do you need to beware of After the circumcision procedure?

With the Shang Ring method, there is a very low risk of bleeding and infection.
Usually, the patient may experience some pain or discomfort during nocturnal or morning erections.
You can apply a frozen bag of peas on the penis when an erection occurs and if it causes a lot of pain.
You are advised to avoid any activities that may cause pressure or friction at the wound site for 2 weeks like strenuous physical activities or sexual intercourse.
It is advisable to wear brief or underwear to hold the penis up.
Usually, after 4 to 6 weeks, you can start being sexually active.
Also, a medical certificate is usually given for 1 to 2 weeks to recover.
That is everything there is to Adult Circumcision.

Should you require further information about the circumcision for the adult, please visit drop us an email at  hello@dtapclinic.com.sg.

Take Care!

Other Read

  1. Weak Erection? Erectile Dysfunction? How to Improve Erection with Pills
  2. Things to do to maintain your penis health
  3. Weak Erection: Does Penis Size Matters?
  4. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  5. What are the Causes of Abnormal Penile Discharge?

Phimosis – Unusually Tight Foreskin (Video)

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How Do I Know If I Have Phimosis (Tight Foreskin)?

Phimosis is a condition of unusually tight foreskin that cannot be drawn back from the head of the penis.
It is a constriction of the opening of the foreskin that – it can’t be drawn back over the tip of the penis.
A simple way to find out is just to try to pull your foreskin all the way back until you see the whole head of the penis.
If you cannot do this or if it hurts to do this, you likely suffer from phimosis (tight foreskin).

How Severe are My Phimosis (Tight Foreskin) Condition?

Score 1: Full retraction of the foreskin, tight behind the glans. ☑
Score 2: Partial exposure of glans, prepuce (not congenital adhesions) limiting factor. ☑
Score 3: Partial retraction, meatus just visible. ☑
Score 4: Slight retraction, but some distance between tip and glans, i.e. neither meatus nor glans can be exposed. ☑
Score 5: Absolutely no retraction of the foreskin. ☑

What are the Risk Factors of Phimosis (Tight Foreskin)?

The tightness of the foreskin may interfere with the normal passage of urine.
In severe cases, this may cause retention of urine and urine infection. It also increases the risk of infections of the foreskin and head of the penis.
This problem is especially severe in people with Diabetes.
Also, it may cause pain during sex. If you have phimosis using a condom during sexual intercourse may make the penis more comfortable.

What are the Possible Treatments of Phimosis (Tight Foreskin)?

Your doctor may give you antibiotics if the swabs did showed signs of infection, or may give you a cream for application.
Sometimes, phimosis can be treated simply by stretching the foreskin. Sometimes, doctors will prescribe a cream to help the foreskin stretch.
If the problem is severe and stretching does not help or if the foreskin is badly scarred, the patient may need a circumcision.
Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons.

If you think you may be suffering from phimosis, see our doctors for a consultation.